Diverticular Disease.

Publication Title

The Surgical clinics of North America

Authors

Ryan Emanuelson, Swedish Medical Center, Seattle, WA USAFollow
Lindsay Sceats, Swedish Medical Center, Seattle, WA USAFollow
Raman Menon, Swedish Medical Center, Seattle, WA USAFollow
Melinda Hawkins, Swedish Medical Center, Seattle, WA USAFollow

Document Type

Article

Publication Date

2-1-2026

Keywords

washington; swedish; swedish dhi

Abstract

Our approach to the diagnosis and treatment of diverticulitis has evolved over the past 20 y. Routine use of antibiotics has decreased with recent studies suggesting simple cases of diverticulitis can be selectively managed without antibiotics. The criteria necessitating surgical intervention have also been amended as our understanding of the natural history of diverticulitis has grown. We favor selective use of antibiotics, percutaneous drainage, and surgery depending on the severity of the disease, patient factors, and clinical context.

Area of Special Interest

Digestive Health

Specialty/Research Institute

Swedish Digestive Health Institute

Specialty/Research Institute

Gastroenterology

Specialty/Research Institute

Surgery

DOI

10.1016/j.suc.2025.08.009